DAVID GREGG PHD, LP, CAADC
NPI 1790150456
Psychologist in Kalamazoo, MI

Active since December 07, 2015PECOS EnrolledAccepts Medicare Assignment
4017 W MAIN ST STE 100, KALAMAZOO, MI 49006(248) 808-3875(269) 350-5779 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 22, 2023, Jan 11, 2019, Dec 7, 2015 (3 updates tracked since 2015).

About David Gregg Phd, Lp, Caadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID GREGG PHD, LP, CAADC (NPI 1790150456) is an individual psychologist in Kalamazoo, Michigan, licensed in Michigan (6301016924) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790150456
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDAVID GREGGCredential: PHD, LP, CAADC
Location Address4017 W MAIN ST STE 100Kalamazoo, MI 49006-3731
Mailing Address6418 Hampton StPortage, MI 49024-2532
Fax(269) 350-5779
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 7, 2015
Last NPPES UpdateMay 22, 20233 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
NPI 1790150456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301016924
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

4017 W MAIN ST STE 100, Kalamazoo, MI 49006

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David Gregg Phd, Lp, Caadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981960507
PECOS Enrollment IDI20171114001808
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
4017 W MAIN ST STE 100, SUITE 100
KALAMAZOO, MI 49006
Counselor (Professional)
4017 W MAIN ST STE 100
KALAMAZOO, MI 49006
Counselor (Professional)
4017 W MAIN ST STE 100
KALAMAZOO, MI 49006
Counselor (Professional)
4017 W MAIN ST STE 100
KALAMAZOO, MI 49006
Psychologist (Counseling)
4017 W MAIN ST STE 100
KALAMAZOO, MI 49006
Psychologist (Counseling)
4017 W MAIN ST STE 100
KALAMAZOO, MI 49006
Psychologist
4017 W MAIN ST STE 100
KALAMAZOO, MI 49006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790150456, enumerated as an "individual" on December 07, 2015.

The provider is located at 4017 W MAIN ST STE 100 KALAMAZOO, MI 49006 and the phone number is (248) 808-3875.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.